Dear Provider Administrator,
Did you know that a change is coming to Ohio Medicaid in 2025? At the time of this change, claims that require Electronic Visit Verification (EVV) must have a matching EVV visit record. Claims that do not match will be denied.
You are receiving this email because the total unit(s) on your claim do not match an EVV record. To know which claims are impacted, see the Remittance Advice in the Provider Network Management module, Self Service option for the ‘EVV – Units do not match’ message. To ensure that your claim(s) are not denied please do the following:
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Check the Sandata EVV Aggregator to identify the EVV visit record with the incorrect units.
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If a EVV visit record is incorrect, it will have a red dot next to it in the Sandata EVV Aggregator.
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In your Alternate EVV system, update the visit record with the incorrect units.
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Follow the standard process for your Alternate EVV system to resubmit the corrected EVV record to the Sandata Aggregator.
If you have completed the steps above and your claim still does not match, please contact Sandata’s EVV Provider Hotline at 855-805-3505 so we can help. Office hours are also available for you to stop in for 1:1 assistance. Office hours are available daily at SandataLearn.com. Simply login in or register at SandataLearn and then click the Events tab to access Office Hours.
REMINDER: The first phase of the claims adjudication process begins with home health services claims billed through State Plan Fee-for-Service (FFS) – where ODM is the payer. Only claims for these services will require complete EVV visit data in order to receive payment. The changes will not take place any earlier than January 1, 2025. Additional services will be phased in over time.
